Individual provider Active NPI

Ashley A. Thill, O.D.

  • Optometrist
  • Springfield, MO
National Provider Identifier
1811259518
Registry record updated Feb 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2013013533 Issued in MO
Practice address
3231 S National Ave
Suite 165/166
Springfield, MO 65807-7304
Phone
(417) 820-9393
Fax
(417) 841-0181
NPI assigned
Jun 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2755 OK
Optometrist 152W00000X 2013013533 MO Primary

Addresses

Primary practice location

3231 S National Ave
Suite 165/166
Springfield, MO 65807-7304

Mailing address

PO Box 505164
Saint Louis, MO 63150-5164
Phone (417) 820-2000

Other identifiers 1

IdentifierTypeStateIssuer
1811259518MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141013002424 MO Practitioner - Optometry 0244488161 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Ophthalmology LLCGroup PAC ID 1951544428, 17 clinicians

Practice addresses (Care Compare)

615 S New Ballas Rd Admin BLDG 5TH
St Louis, MO 63141-8221

621 S New Ballas Rd
Suite 140a
Saint Louis, MO 63141-8254
Phone (314) 251-5300

901 Patients 1St Dr
Suite 2600
Washington, MO 63090-4700
Phone (636) 231-3651

Hospital & facility affiliations

  • Mercy Hospital St Louis Hospital, Saint Louis, MO, CCN 260020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2013013533MOMDOptometrist
2755OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Services, LLC Optometrist CurrentSince Jun 3, 2018 Accepting new patients
Mercy Hospitals East Communities CurrentSince Jun 3, 2018 Accepting new patients
Mercy Hospitals East Communities CurrentSince Jun 3, 2018 Accepting new patients
Innovative Eye Care Specialists, LLC Optometrist CurrentSince Jul 10, 2018 Accepting new patients
Mercy Clinic Ophthalmology LLC CurrentSince Jun 3, 2018 Accepting new patients
Mercy Health Services, LLC Optometrist Current Accepting new patients
Mercy Health Services, LLC Optometrist CurrentSince Jun 3, 2018 Accepting new patients
Northeastern State University College of Optometry Optometrist PastSince Jul 1, 2025 Accepting new patients

Locations

621 S New Ballas Rd
Ste 7A
Saint Louis, MO 63141
Phone (314) 251-6430

621 S New Ballas Rd
Ste 140A
Saint Louis, MO 63141
Phone (314) 251-5300

34 Hampton Village Plz
Saint Louis, MO 63109
Phone (314) 251-6430

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

621 S New Ballas Rd
Ste 5006B
Saint Louis, MO 63141
Phone (314) 251-5300

10275 Watson Rd
Saint Louis, MO 63127
Phone (314) 909-9975

901 Patients First Dr
Ste 2600
Washington, MO 63090
Phone (636) 231-3651

851 E 5th St
Ste 112
Washington, MO 63090
Phone (636) 239-8345

Interoperability endpoints

  • Direct secure messaging: athill496099@directb.mercy.net
  • Direct secure messaging: athill505764@directc.mercy.net

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423612800000",
    "number": "1811259518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 505164",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631505164",
            "telephone_number": "417-820-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3231 S NATIONAL AVE",
            "address_2": "SUITE 165/166",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658077304",
            "telephone_number": "417-820-9393",
            "fax_number": "417-841-0181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THILL",
        "first_name": "ASHLEY",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-09",
        "last_updated": "2015-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2755",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2013013533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811259518",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.